NPIMap

Individual provider Active NPI

Francisco L Dofeliz, M.D.

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1891043832
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14497 Issued in NV
Practice address
6380 Mae Anne Ave
Unit 7
Reno, NV 89523-4712
Phone
(775) 432-1500
Fax
(775) 432-1002
NPI assigned
Aug 23, 2012
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14497 NV Primary
Family Medicine Physician 207Q00000X A135372 CA

Addresses

Primary practice location

6380 Mae Anne Ave
Unit 7
Reno, NV 89523-4712

Mailing address

6380 Mae Anne Ave
Unit 7
Reno, NV 89523-4712
Phone (775) 432-1500

Other practice location 1

1st and A ST
Hawthorne, NV 89415-1510
Phone (775) 945-2461 ext. 257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120925000693 NV Practitioner - Family Practice 3577712108 Reassigns benefits to 2 organizations
I20240605003429 CA Practitioner - Family Practice 3577712108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pride Medical Spa and Wellness Center IncGroup PAC ID 4880016617, 2 clinicians

Practice addresses (Care Compare)

6380 Mae Anne Ave
Suite 7
Reno, NV 89523-4712
Phone (775) 432-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135372CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pride Medical Spa and Wellness Center Inc Family Medicine CurrentSince Mar 20, 2020 Accepting new patients
Pride Medical Spa and Wellness Center Inc Current Accepting new patients
Vividlife Ketamine Clinic CurrentSince Feb 10, 2024 Accepting new patients
Mt. Grant General Hospital Past Accepting new patients
Mt. Grant General Hospital Past Accepting new patients

Locations

5167 Clayton Rd
Ste H
Concord, CA 94521
Phone (925) 375-1971

5365 Mae Anne Ave
Ste A10
Reno, NV 89523
Phone (775) 432-1500

6380 Mae Anne Ave
Ste 7
Reno, NV 89523
Phone (775) 432-1500

Interoperability endpoints

  • Direct secure messaging: francisco.dofeliz@bhr-nv.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/11938/brand/2/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1891043832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 MAE ANNE AVE",
            "address_2": "UNIT 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234712",
            "telephone_number": "775-432-1500",
            "fax_number": "775-432-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 MAE ANNE AVE",
            "address_2": "UNIT 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234712",
            "telephone_number": "775-432-1500",
            "fax_number": "775-432-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1st and A ST",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "NV",
            "postal_code": "894151510",
            "country_code": "US",
            "telephone_number": "775-945-2461 x257",
            "fax_number": "775-945-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOFELIZ",
        "first_name": "FRANCISCO",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-23",
        "last_updated": "2024-04-24",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14497",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A135372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.